Sandra Dee Radom, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

MO01130 Issued in MO

Practice address

5775 NW 64TH Terrace
204
Kansas City, MO 64151

Phone

(816) 391-9008

Fax

(816) 746-4753

NPI assigned

Aug 4, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Psychological Consultants PC

  • Health Service Psychologist
  • Kansas City, MO
  • NPI 1639353915
  NPD (past)
• Sandra Loughlin, PH.D., P.C.

  • Psychologist
  • Kansas City, MO
  • NPI 1639353055
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841208741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5775 NW 64TH TERRACE",
            "address_2": "204",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64151",
            "telephone_number": "816-391-9008",
            "fax_number": "816-746-4753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5775 NW 64TH TERRACE",
            "address_2": "204",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64151",
            "telephone_number": "816-391-9008",
            "fax_number": "816-746-4753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADOM",
        "first_name": "SANDRA",
        "middle_name": "DEE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MO",
            "license": "MO01130",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "KS",
            "license": "KS645",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie J Rader, MD
• Kimberely Sue Radford, RN, MSN, CPNP-AC
• Mohamed A Radhi, MD
• Radiant Grin Solutions LLC (Family Dental Care)
• Radical Empowerment Services
• Paige Raes
• Siri Ragala, MD
• Judith Ragan
• Geetha Raghuveer, M.D.
• Merlon Ragland, B,S,W,

• Psychologist in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.